source: ccr/trunk/nhin-vista/projects/NHINC/Current/Product/Production/Adapters/General/DocumentRepository/src/Sample_1.xml@ 507

Last change on this file since 507 was 507, checked in by George Lilly, 15 years ago

NHIN gateway and adaptor for use on linux with VistA EHR and RPMS
File size: 26.8 KB
Line 
1<?xml version="1.0" encoding="UTF-8"?>
2<Documents xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="document.xsd">
3 <Document>
4 <!-- <documentId>1</documentId> -->
5 <documentUniqueId>12344321</documentUniqueId>
6 <documentTitle>documentTitle_value</documentTitle>
7 <authorPerson>authorPerson_value</authorPerson>
8 <authorInstitution>authorInstitution_value</authorInstitution>
9 <authorRole>authorRole_value</authorRole>
10 <authorSpecialty>authorSpecialty_value</authorSpecialty>
11 <availablityStatus>availablityStatus_value</availablityStatus>
12 <classCode>classCode_value</classCode>
13 <classCodeScheme>classCodeScheme_value</classCodeScheme>
14 <classCodeDisplayName>classCodeDisplayName_value</classCodeDisplayName>
15 <confidentialityCode>confidentialityCode_value</confidentialityCode>
16 <confidentialityCodeScheme>confidentialityCodeScheme_value</confidentialityCodeScheme>
17 <confidentialityCodeDisplayName>confidentialityCodeDisplayName_value</confidentialityCodeDisplayName>
18 <creationTime>01/01/2000.11:59:59</creationTime>
19 <formatCode>formatCode_value</formatCode>
20 <formatCodeScheme>formatCodeScheme_value</formatCodeScheme>
21 <formatCodeDisplayName>formatCodeDisplayName_value</formatCodeDisplayName>
22 <patientId>patientId_value</patientId>
23 <serviceStartTime>02/02/2001.01:01:01</serviceStartTime>
24 <serviceStopTime>03/03/2002.02:02:02</serviceStopTime>
25 <status>status_value</status>
26 <comments>comments_value</comments>
27 <hash>hash_value</hash>
28 <facilityCode>facilityCode_value</facilityCode>
29 <facilityCodeScheme>facilityCodeScheme_value</facilityCodeScheme>
30 <facilityCodeDisplayName>facilityCodeDisplayName_value</facilityCodeDisplayName>
31 <intendedRecipientPerson>intendedRecipientPerson_value</intendedRecipientPerson>
32 <intendedRecipientOrganization>intendedRecipientOrganization_value</intendedRecipientOrganization>
33 <languageCode>languageCode_value</languageCode>
34 <legalAuthenticator>legalAuthenticator_value</legalAuthenticator>
35 <mimeType>mimeType_value</mimeType>
36 <parentDocumentId>parentDocumentId_value</parentDocumentId>
37 <parentDocumentRelationship>parentDocumentRelationship_value</parentDocumentRelationship>
38 <practiceSetting>practiceSetting_value</practiceSetting>
39 <practiceSettingScheme>practiceSettingScheme_value</practiceSettingScheme>
40 <practiceSettingDisplayName>practiceSettingDisplayName_value</practiceSettingDisplayName>
41 <size>1234</size>
42 <sourcePatientId>sourcePatientId_value</sourcePatientId>
43 <pid3>pid3_value</pid3>
44 <pid5>pid5_value</pid5>
45 <pid8>pid8_value</pid8>
46 <pid7>pid7_value</pid7>
47 <pid11>pid11_value</pid11>
48 <typeCode>typeCode_value</typeCode>
49 <typeCodeScheme>typeCodeScheme_value</typeCodeScheme>
50 <typeCodeDisplayName>typeCodeDisplayName_value</typeCodeDisplayName>
51 <documentUri>documentUri_value</documentUri>
52 <rawData><![CDATA[<ClinicalDocument xsi:schemaLocation="urn:hl7-org:v3 http://xreg2.nist.gov:8080/hitspValidation/schema/cdar2c32/infrastructure/cda/C32_CDA.xsd" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3">
53 <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
54 <templateId assigningAuthorityName="CDA/R2" root="2.16.840.1.113883.3.27.1776"/>
55 <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1"/>
56 <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.1"/>
57 <id extension="Laika C32 Test" assigningAuthorityName="Laika: An Open Source EHR Testing Framework projectlaika.org" root="2.16.840.1.113883.3.72"/>
58 <code code="34133-9" displayName="Summarization of patient data" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
59 <title>Katy Bradford</title>
60 <effectiveTime value="20080424103703-0500"/>
61 <confidentialityCode/>
62 <languageCode code="en-US"/>
63 <recordTarget>
64 <patientRole>
65 <id extension="000-00-0002"/>
66 <addr>
67 <streetAddressLine>437 TURNER LANE</streetAddressLine>
68 <city>LEESBURG</city>
69 <state>VA</state>
70 <postalCode>20176</postalCode>
71 <country>US</country>
72 </addr>
73 <telecom value="tel:703-555-0000" use="HP"/>
74 <telecom value="tel:703-555-0001" use="WP"/>
75 <telecom value="tel:703-555-0002" use="MC"/>
76 <telecom value="mailto:katy.bradford@here.com"/>
77 <telecom value="http://www.here.com/katy"/>
78 <patient>
79 <name>
80 <prefix>MRS.</prefix>
81 <given qualifier="CL">KATY</given>
82 <family qualifier="BR">BRADFORD</family>
83 </name>
84 <administrativeGenderCode code="F" displayName="Female" codeSystemName="HL7 AdministrativeGenderCodes" codeSystem="2.16.840.1.113883.5.1">
85 <originalText>AdministrativeGender codes are: M (Male), F (Female) or UN (Undifferentiated).</originalText>
86 </administrativeGenderCode>
87 <birthTime value="19740730"/>
88 <maritalStatusCode code="M" displayName="Married" codeSystemName="MaritalStatusCode" codeSystem="2.16.840.1.113883.5.2"/>
89 <religiousAffiliationCode code="1005" displayName="Anglican" codeSystemName="Religious Affiliation" codeSystem="2.16.840.1.113883.5.1076"/>
90 <raceCode code="2111-3" displayName="French" codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>
91 <ethnicGroupCode code="2142-8" displayName="Belearic Islander" codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>
92 <languageCommunication>
93 <templateId root="2.16.840.1.113883.3.88.11.32.2"/>
94 <languageCode code="as-AZ"/>
95 <modeCode code="RSGN" displayName="Received Signed" codeSystemName="LanguageAbilityMode" codeSystem="2.16.840.1.113883.5.60"/>
96 <preferenceInd value="true"/>
97 </languageCommunication>
98 <languageCommunication>
99 <templateId root="2.16.840.1.113883.3.88.11.32.2"/>
100 <languageCode code="cs-AU"/>
101 <modeCode code="EWR" displayName="Expressed Written" codeSystemName="LanguageAbilityMode" codeSystem="2.16.840.1.113883.5.60"/>
102 <preferenceInd value="true"/>
103 </languageCommunication>
104 </patient>
105 </patientRole>
106 </recordTarget>
107 <author>
108 <time value="20080401"/>
109 <assignedAuthor>
110 <id root="8798704325"/>
111 <assignedPerson>
112 <name>
113 <prefix>MR</prefix>
114 <given qualifier="CL">BOB</given>
115 <family qualifier="BR">DEVRIESE</family>
116 <prefix>ESQ</prefix>
117 </name>
118 </assignedPerson>
119 <representedOrganization>
120 <id root="2.16.840.1.113883.19.5"/>
121 <name>AJAX INSURANCE</name>
122 </representedOrganization>
123 </assignedAuthor>
124 </author>
125 <custodian>
126 <assignedCustodian>
127 <representedCustodianOrganization>
128 <id/>
129 </representedCustodianOrganization>
130 </assignedCustodian>
131 </custodian>
132 <participant typeCode="IND">
133 <templateId root="2.16.840.1.113883.3.88.11.32.3"/>
134 <time>
135 <low value="20080401"/>
136 <high value="20080430"/>
137 </time>
138 <associatedEntity classCode="AGNT">
139 <code code="FRND" displayName="Unrelated Friend" codeSystemName="RoleCode" codeSystem="2.16.840.1.113883.5.111"/>
140 <addr>
141 <streetAddressLine>439 TURNER LANE</streetAddressLine>
142 <city>LEESBURG</city>
143 <state>VA</state>
144 <postalCode>20176</postalCode>
145 <country>US</country>
146 </addr>
147 <telecom value="tel:703-555-0003" use="HP"/>
148 <telecom value="tel:703-555-0004" use="WP"/>
149 <telecom value="tel:703-555-0005" use="MC"/>
150 <telecom value="tel:703-555-0006" use="HV"/>
151 <telecom value="mailto:terry.shaw@here.com"/>
152 <telecom value="http://www.here.com/terry"/>
153 <associatedPerson>
154 <name>
155 <prefix>MS.</prefix>
156 <given qualifier="CL">TERRY</given>
157 <family qualifier="BR">SHAW</family>
158 <suffix>PHD</suffix>
159 </name>
160 </associatedPerson>
161 </associatedEntity>
162 </participant>
163 <documentationOf>
164 <serviceEvent classCode="PCPR">
165 <effectiveTime>
166 <low value="0"/>
167 <high value="2010"/>
168 </effectiveTime>
169 <performer typeCode="PRF">
170 <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.4"/>
171 <functionCode code="PP" displayName="Primary Care Provider" codeSystemName="Provider Role" codeSystem="2.16.840.1.113883.12.443">
172 <originalText>PCP</originalText>
173 </functionCode>
174 <time>
175 <low value="20080409"/>
176 <high value="20080430"/>
177 </time>
178 <assignedEntity>
179 <id/>
180 <code code="300000000X" displayName="Managed Care Organizations" codeSystemName="ProviderCodes" codeSystem="2.16.840.1.113883.6.101"/>
181 <addr>
182 <streetAddressLine>10300 MAIN ST.</streetAddressLine>
183 <streetAddressLine>SUITE 100</streetAddressLine>
184 <city>ASHBURN</city>
185 <state>VA</state>
186 <postalCode>20176</postalCode>
187 <country>AF</country>
188 </addr>
189 <telecom value="tel:703-555-0007" use="HP"/>
190 <telecom value="tel:703-555-0008" use="WP"/>
191 <telecom value="tel:703-555-0009" use="MC"/>
192 <telecom value="tel:703-555-0010" use="HV"/>
193 <telecom value="mailto:jw@doctors.com"/>
194 <telecom value="http://www.doctors.com/jw"/>
195 <assignedPerson>
196 <name>
197 <prefix>DR.</prefix>
198 <given qualifier="CL">JANE</given>
199 <family qualifier="BR">WATSON</family>
200 <suffix>MD</suffix>
201 </name>
202 </assignedPerson>
203 <representedOrganization>
204 <id assigningAuthorityName="Doctors Inc." root="2.16.840.1.113883.3.72.5"/>
205 <name>Doctors Inc.</name>
206 </representedOrganization>
207 <patient xmlns="urn:hl7-org:sdtc">
208 <id extension="MedicalRecordNumber" root="x164353Y1343" xmlns="urn:hl7-org:sdtc"/>
209 </patient>
210 </assignedEntity>
211 </performer>
212 </serviceEvent>
213 </documentationOf>
214 <component>
215 <structuredBody>
216 <component>
217 <section>
218 <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.11"/>
219 <code code="11450-4" displayName="Problems" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
220 <title>Conditions or Problems</title>
221 <text>
222 <table border="1" width="100%">
223 <thead>
224 <tr>
225 <th>Problem Name</th>
226 <th>Problem Type</th>
227 <th>Problem Date</th>
228 </tr>
229 </thead>
230 <tbody>
231 <tr>
232 <td>
233 <content ID="problem-1021520383">Sprained ankle</content>
234 </td>
235 <td>Diagnosis</td>
236 <td>20080401</td>
237 </tr>
238 <tr>
239 <td>
240 <content ID="problem-1021520384">Migraines</content>
241 </td>
242 <td>Problem</td>
243 <td>20080421</td>
244 </tr>
245 </tbody>
246 </table>
247 </text>
248 <entry>
249 <act classCode="ACT" moodCode="EVN">
250 <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.27"/>
251 <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.7"/>
252 <id/>
253 <code nullFlavor="NA"/>
254 <effectiveTime>
255 <low value="20080401"/>
256 <high value="20080430"/>
257 </effectiveTime>
258 <entryRelationship typeCode="SUBJ">
259 <observation classCode="OBS" moodCode="EVN">
260 <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.28"/>
261 <code code="282291009" displayName="Diagnosis" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
262 <text>
263 <reference value="#problem-1021520383"/>
264 </text>
265 <statusCode code="completed"/>
266 </observation>
267 </entryRelationship>
268 </act>
269 </entry>
270 <entry>
271 <act classCode="ACT" moodCode="EVN">
272 <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.27"/>
273 <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.7"/>
274 <id/>
275 <code nullFlavor="NA"/>
276 <effectiveTime>
277 <low value="20080421"/>
278 <high value="20080425"/>
279 </effectiveTime>
280 <entryRelationship typeCode="SUBJ">
281 <observation classCode="OBS" moodCode="EVN">
282 <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.28"/>
283 <code code="55607006" displayName="Problem" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
284 <text>
285 <reference value="#problem-1021520384"/>
286 </text>
287 <statusCode code="completed"/>
288 </observation>
289 </entryRelationship>
290 </act>
291 </entry>
292 </section>
293 </component>
294 <component>
295 <section>
296 <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.2"/>
297 <code code="48765-2" codeSystem="2.16.840.1.113883.6.1"/>
298 <title>Allergies, Adverse Reactions, Alerts</title>
299 <text>
300 <table border="1" width="100%">
301 <thead>
302 <tr>
303 <th>Substance</th>
304 <th>Event Type</th>
305 <th>Severity</th>
306 </tr>
307 </thead>
308 <tbody>
309 <tr>
310 <td>Trucare</td>
311 <td>Drug Allergy</td>
312 <td>
313 <content ID="severity-823358778">Mild</content>
314 </td>
315 </tr>
316 <tr>
317 <td>peanuts</td>
318 <td>Food Allergy</td>
319 <td>
320 <content ID="severity-823358779">Severe</content>
321 </td>
322 </tr>
323 </tbody>
324 </table>
325 </text>
326 <entry>
327 <act classCode="ACT" moodCode="EVN">
328 <templateId root="2.16.840.1.113883.10.20.1.27"/>
329 <templateId root="2.16.840.1.113883.3.88.11.32.6"/>
330 <id root="2C748172-7CC2-4902-8AF0-23A105C4401B"/>
331 <code nullFlavor="NA"/>
332 <entryRelationship typeCode="SUBJ">
333 <observation classCode="OBS" moodCode="EVN">
334 <templateId root="2.16.840.1.113883.10.20.1.18"/>
335 <code code="416098002" displayName="Drug Allergy" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
336 <statusCode code="completed"/>
337 <effectiveTime>
338 <low value="20080401"/>
339 <high value="20080430"/>
340 </effectiveTime>
341 <participant typeCode="CSM">
342 <participantRole classCode="MANU">
343 <playingEntity classCode="MMAT">
344 <code code="00504-554-4433" displayName="Trucare" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88"/>
345 <name>Trucare</name>
346 </playingEntity>
347 </participantRole>
348 </participant>
349 </observation>
350 </entryRelationship>
351 </act>
352 </entry>
353 <entry>
354 <act classCode="ACT" moodCode="EVN">
355 <templateId root="2.16.840.1.113883.10.20.1.27"/>
356 <templateId root="2.16.840.1.113883.3.88.11.32.6"/>
357 <id root="2C748172-7CC2-4902-8AF0-23A105C4401B"/>
358 <code nullFlavor="NA"/>
359 <entryRelationship typeCode="SUBJ">
360 <observation classCode="OBS" moodCode="EVN">
361 <templateId root="2.16.840.1.113883.10.20.1.18"/>
362 <code code="414285001" displayName="Food Allergy" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
363 <statusCode code="completed"/>
364 <effectiveTime>
365 <low value="20080414"/>
366 <high value="20080430"/>
367 </effectiveTime>
368 <participant typeCode="CSM">
369 <participantRole classCode="MANU">
370 <playingEntity classCode="MMAT">
371 <code code="75443544" displayName="peanuts" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88"/>
372 <name>peanuts</name>
373 </playingEntity>
374 </participantRole>
375 </participant>
376 </observation>
377 </entryRelationship>
378 </act>
379 </entry>
380 </section>
381 </component>
382 <component>
383 <section>
384 <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.9"/>
385 <code code="48768-6" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
386 <title>Insurance Providers</title>
387 <text>
388 <table border="1" width="100%">
389 <thead>
390 <tr>
391 <th>Insurance Provider Name</th>
392 <th>Insurance Provider Type</th>
393 <th>Insurance Provider Group Number</th>
394 </tr>
395 </thead>
396 <tbody>
397 <tr>
398 <td>AJAX INSURANCE</td>
399 <td>AJAX INSURANCE</td>
400 <td>G1854093</td>
401 </tr>
402 </tbody>
403 </table>
404 </text>
405 <entry>
406 <act classCode="ACT" moodCode="DEF">
407 <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.20"/>
408 <id extension="GroupOrContract#" root="G1854093"/>
409 <code code="48768-6" displayName="Payment Sources" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
410 <statusCode code="completed"/>
411 <entryRelationship typeCode="COMP">
412 <act classCode="ACT" moodCode="EVN">
413 <templateId root="2.16.840.1.113883.10.20.1.26"/>
414 <templateId root="2.16.840.1.113883.3.88.11.32.5"/>
415 <id extension="GroupOrContract#" root="G1854093"/>
416 <code code="GP" displayName="Group Policy" codeSystemName="X12N-1336" codeSystem="2.16.840.1.113883.6.255.1336"/>
417 <statusCode code="completed"/>
418 <performer typeCode="PRF">
419 <assignedEntity classCode="ASSIGNED">
420 <id root="2.16.840.1.113883.3.88.3.1"/>
421 <representedOrganization classCode="ORG">
422 <id root="2.16.840.1.113883.19.5"/>
423 <name>AJAX INSURANCE</name>
424 </representedOrganization>
425 </assignedEntity>
426 </performer>
427 <participant typeCode="HLD">
428 <participantRole classCode="IND">
429 <id extension="7095365879" root="AssignAuthorityGUID"/>
430 <addr>
431 </addr>
432 <playingEntity>
433 <name>
434 </name>
435 <sdtc:birthTime value="19630408"/>
436 </playingEntity>
437 </participantRole>
438 </participant>
439 </act>
440 </entryRelationship>
441 </act>
442 </entry>
443 </section>
444 </component>
445 <component>
446 <section>
447 <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.8"/>
448 <code code="10160-0" displayName="History of medication use" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
449 <title>Medications</title>
450 <text>
451 <table border="1" width="100%">
452 <thead>
453 <tr>
454 <th>Product Display Name</th>
455 <th>Free Text Brand Name</th>
456 <th>Ordered Value</th>
457 <th>Ordered Unit</th>
458 <th>Expiration Time</th>
459 </tr>
460 </thead>
461 <tbody>
462 <tr>
463 <td>
464 <content ID="medication-809983199">Hyaline</content>
465 </td>
466 <td>Hyalinia</td>
467 <td>30.0</td>
468 <td>TAB</td>
469 <td>20080430</td>
470 </tr>
471 </tbody>
472 </table>
473 </text>
474 <entry>
475 <substanceAdministration classCode="SBADM" moodCode="EVN">
476 <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.24"/>
477 <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.8"/>
478 <id/>
479 <consumable>
480 <manufacturedProduct classCode="MANU">
481 <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.53"/>
482 <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.9"/>
483 <manufacturedMaterial classCode="MMAT" determinerCode="KIND">
484 <code code="87643566" displayName="Hyaline" codeSystemName="RxNorm" codeSystem="2.16.840.1.113883.6.88">
485 <originalText>Hyaline</originalText>
486 </code>
487 <name>Hyalinia</name>
488 </manufacturedMaterial>
489 </manufacturedProduct>
490 </consumable>
491 <entryRelationship typeCode="SUBJ">
492 <observation classCode="OBS" moodCode="EVN">
493 <templateId root="2.16.840.1.113883.3.88.11.32.10"/>
494 <code code="73639000" displayName="Prescription Drug" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
495 <statusCode code="completed"/>
496 </observation>
497 </entryRelationship>
498 <entryRelationship typeCode="REFR">
499 <observation classCode="OBS" moodCode="EVN">
500 <code code="33999-4" displayName="Status" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
501 <statusCode code="Dispensed"/>
502 <value code="55561003" displayName="Active" xsi:type="CE" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96"/>
503 </observation>
504 </entryRelationship>
505 <entryRelationship typeCode="REFR">
506 <supply classCode="SPLY" moodCode="INT">
507 <templateId root="2.16.840.1.113883.3.88.1.11.32.11"/>
508 <id extension="SCRIP#" root="TAB"/>
509 <effectiveTime value="20080430"/>
510 <quantity value="30.0"/>
511 </supply>
512 </entryRelationship>
513 </substanceAdministration>
514 </entry>
515 </section>
516 </component>
517 <component>
518 <section>
519 <templateId root="2.16.840.1.113883.10.20.1.1"/>
520 <code code="42348-3" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>
521 <title>Advance Directive</title>
522 <text>
523 <content ID="advance-directive-989570598">Blood transfusion OK</content>
524 </text>
525 <entry>
526 <observation classCode="OBS" moodCode="EVN">
527 <templateId assigningAuthorityName="CCD" root="2.16.840.1.113883.10.20.1.17"/>
528 <templateId assigningAuthorityName="HITSP/C32" root="2.16.840.1.113883.3.88.11.32.13"/>
529 <id/>
530 <code code="116859006" displayName="Transfusion of Blood" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96">
531 <originalText>
532 <reference value="advance-directive-989570598"/>
533 </originalText>
534 </code>
535 <statusCode code="completed"/>
536 <effectiveTime>
537 <low value="20080401"/>
538 <high value="20080430"/>
539 </effectiveTime>
540 <participant typeCode="CST">
541 <participantRole classCode="AGNT">
542 <addr>
543 <streetAddressLine>9435 BELL ROAD</streetAddressLine>
544 <streetAddressLine>2ND FLOOR</streetAddressLine>
545 <city>LEESBURG</city>
546 <state>VA</state>
547 <postalCode>20155</postalCode>
548 <country>US</country>
549 </addr>
550 <telecom value="tel:703-555-0011" use="HP"/>
551 <telecom value="tel:703-555-0012" use="WP"/>
552 <telecom value="tel:703-555-0013" use="MC"/>
553 <telecom value="tel:703-555-0014" use="HV"/>
554 <telecom value="mailto:smith@doctors.com"/>
555 <telecom value="http://www.here.com/smith"/>
556 <playingEntity>
557 <name>
558 <prefix>MR</prefix>
559 <given qualifier="CL">FRED</given>
560 <family qualifier="BR">SMITH</family>
561 <suffix>ESQ</suffix>
562 </name>
563 </playingEntity>
564 </participantRole>
565 </participant>
566 <entryRelationship typeCode="REFR">
567 <observation classCode="OBS" moodCode="EVN">
568 <templateId root="2.16.840.1.113883.10.20.1.37"/>
569 <code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1"/>
570 <statusCode code="completed"/>
571 <value code="15240007" displayName="Current and verified" xsi:type="CE" codeSystem="2.16.840.1.113883.6.96"/>
572 </observation>
573 </entryRelationship>
574 </observation>
575 </entry>
576 </section>
577 </component>
578 </structuredBody>
579 </component>
580</ClinicalDocument>]]></rawData>
581 <eventCode>
582 <!-- <codeId>1</codeId> -->
583 <code>code_value</code>
584 <codeSchema>codeSchema_value</codeSchema>
585 <codeDisplayName>codeDisplayName_value</codeDisplayName>
586 </eventCode>
587 </Document>
588</Documents>
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